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2101 BAKER AVE 2016-01-01 MF Import
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2101 BAKER AVE 2016-01-01 MF Import
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Last modified
1/23/2017 11:15:01 AM
Creation date
1/23/2017 11:14:48 AM
Metadata
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Address Document
Street Name
BAKER AVE
Street Number
2101
Imported From Microfiche
Yes
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.. , . . -{ . ( o � —Z!� �i� . J <br /> . � . ..¢�r�Aa�u�q ���- i <br /> N',U.ri�rt�1 I.:aa Plilfu.—f:G21 <br /> City of Everett�Water Department <br /> -- - <br /> APPLICATION FOR WATEiZ <br /> All Llunks must be filled in or crossed out <br /> I?verett........__ .���.��/..�_/__......_............1D2...... <br /> TO 7'IIF; SUPIiRINTGNUF.N'P OR TIIii \1'ATER DRPAllTS1E\T: <br /> CITY OP I�.1'I:Iti�.TT: <br /> 1 hereLy npply for the u.c of wali�r in iirenrd::nce a�ith lhc rules �md 7'egu' <br /> laliuns of ihe \Pnter Ur inrtmenl, far pwpuses imd fis'ure:� stnted L�quw. <br /> llw•ing lhe lime l�mt nny u[ the tr;�ler mnins mny Le laken up Ly rensun <br /> o[ nny improcemenls nuthuri¢ed by tlie City nf P:crrett, in or of nny ntroel ar <br /> ullry in whirh ihcy may h�n�c Lecn Inid, lha City will not be required ln faraixh <br /> �v�rter during the prngresv o( such intprnvemuntv tu uny ennyumer whose aupply <br /> n��.�y lhus bc eut ot[, ur Le Iin!!!L��''''lc fnr riny Ji�mngrs tnr its fnilurc xn to do. <br /> E pplirutiun No. ��.�� <br /> _ ... .� ( <br /> Uluck .�..7.. _ _ __ Imt �_ . ._ _. Add.r?�t<.!� ac�u�/."1 <br /> No... �.�..U.�. � .�.I'�..«,_ _...9trect I <br /> . . . ... . __ ._.. .__. .._. . .. ... ..._. _.. . <br /> 7'ho �vurk to bc executed by . .. �!w�:� .. . . . Plumber <br /> � ��t����� o <br /> Rtute eize of t•.p. �.. -.. <br /> ...�l.........Tnp �i 6e invrrted in lhe muin. <br /> _._I_.._...�Vnlrr dosrt <br /> .._�..........Da[h <br /> __L.._._.Urinul <br />' ._l.-.......Plnin fnurrt inridc <br />. ..-_�.......Side wnik u�arhrr <br /> ._1...._.....Iloac b(b oul+idc �j <br /> ._�-........Iiose bib fur Luildinq purposee �� <br /> .._�'�......Ilose bib InsiJc <br /> ..5..-�......I3iL for xtuLle runlninicg....._._... ._..stnll..._. __.... . <br /> ...�.....Numhcr ut persons in (nmily <br /> ... ._.._.....Number o[ 7aoms in L�:'.Iding <br /> � ,� premises ore to be usc; na n � <br /> _," �� . ��� <br /> �.vner of the prnntixre is...� U�-. e�„ <br /> g�nt ie.. _.._..... ... ... _.... . .._. _.. . _ .. <br /> .__. . ._. ........_..... __. <br />� � ilicntion, nithough �ignrd, ahall nol hr 6lnding upnn thc Cily, unti! <br />. � �he Supr�inlenduil�of[the 1Vnti�r I)��tnirn�. <br /> Igned X .._. . . / V. ..�..�1/1a���� <br /> , � 1 ./ _npplicnnc \ <br /> _�, 1 .ti�192 . .. Qy / <br /> p -'<� ' <br /> l� ��� �� •.. .�upnntrr,drnt <br />
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